Kenya

Situation Report

Sector Status

Health

45,076
COVID-19 cases (as of 19 October)

Needs

  • The go-slow by health-care workers and general industrial action affected delivery of essential services, including maternal newborn and child health (MNCH) during the reporting period.

  • There has been a 30.5 per cent decline in contraception uptake between March and June 2020 compared to the same period in 2019.

  • Health institutions have reported insufficient medical facilities including, personal protection kits for frontline health workers and community health workers, laboratory testing kits for the mass testing of the targeted communities and high-risk groups, logistical support for the quarantine facilities, and establishment of new quarantine and Isolation centres to respond to the increasing numbers of new cases and contacts across the country.

  • Health authorities have reported reduced uptake of other essential health services amid the COVID-19 pandemic, including for chronic conditions and immunizations services threatening to reverse investments made towards control of communicable diseases, including tuberculosis (TB).

  • Measles outbreaks are still active in five counties: West Pokot, Garissa, Wajir, Tana River and Kilifi. A total of 512 cases have been reported, out of which 49 were confirmed and two deaths (case fatality rate (CFR) 0.4 per cent), according to MoH. There is need for continued sensitization of health workers on the disease and its management and treatment, and distribution of guidelines on measles disease in the health facilities. Improved outreaches visits are also needed to improve immunization coverage for the affected areas.

  • The MoH Ministry of Health has since January 2020 reported an outbreak of visceral leishmaniasis (also known as kalaazar) in Marsabit, Garissa, Kitui and Baringo counties, where a total of 146 cases with seven deaths (CFR 5 per cent) have been recorded, as of 5 September. Health authorities have reported a stock out of visceral leishmaniasis commodities especially rapid test kits, in addition to lack of vector control chemicals and IEC materials, including standard guidelines. There are limited drugs for proper treatment coupled with inadequate knowledge and lack of guidelines and protocol for healthcare workers on case management. Lack of community awareness and knowledge about the diseases and preventive measures has also contributed to its spread.

Response

  • Mental health and psychosocial support are provided to all patients in COVID-19 treatment centres and to those in quarantine facilities.

  • About 810 mama kits were distributed: 110 Turkana County, and 100 each allocated to Homa Bay, Lamu, Mandera, Marsabit, Migori, Narok and Wajir counties.

  • Donated assorted PPEs to health facilities in the Mukuru informal settlement in Nairobi in collaboration with the Wangu Kanja Foundation that supports survivors of GBV.

  • A total of 64,976 women were reached with integrated SRH services (including antenatal and postnatal care, emergency obstetric and newborn care and family planning) in the month of August 2020.

  • About 9,200 adolescents and youth were reached with SRH information and services in the month of September 2020.

  • UNFPA has mobilized resources that translate into prevention of over 1,639,068 unintended pregnancies, nearly 1,939 maternal deaths and aversion of 930,168 unsafe abortions over the next three years.

  • Information campaigns through print and electronic media reached approximately 1,500,000 people.

Gaps

  • Stigma and discrimination against people who have been discharged from quarantine and isolation centres, as well as health workers, are emerging hindering case identification and reporting.

  • Inadequate resources for operations at the sub-national level for COVID-19 surveillance activities, this is glaring at the sub-county level.

  • The long turnaround time for reliable laboratory results to clients in most counties is causing delay in public health action.

  • Uptake of other essential health services have drastically reduced since the COVID-19 pandemic. Key sectors affected are immunization, reproductive health and non-communicable diseases.

  • Complacency by community despite established community transmission now a threat to prevention.

  • Commodity insecurity at the sub-national level of personal protective equipment.

  • Low uptake of integrated digital data management systems especially for the digital case investigation form in the Community Health Toolkit (CHT) and Kenya EMR.

  • Re-emergence of long queues of truck drivers along the major border points of entry and exit with neighbouring countries due to delays occasioned by retesting by Ugandan authorities.

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